Physician

Bureaucracy over care: How the U.S. health care system lost its way

Physician
May 24, 2025

The health care system, in theory, operates on one fundamental principle: to prioritize patient welfare. Yet, contemporary systems in many regions, particularly the United States, have increasingly veered off course, entangling themselves in a jungle of bureaucracy, regulation, and profit-driven motives that obscure the vital role patients play as the focal point of care. The result is a system riddled with inefficiencies, frustration, and barriers to optimal health care delivery.

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ER threats aren’t rare anymore—they’re routine

Physician
May 24, 2025

I read Dr. Harry Severance’s recent piece, “Violence in health care: Why doctors and nurses are leaving,” with a sinking feeling of recognition. He’s right. Health care is becoming the most dangerous profession in America. Violence is no longer rare or shocking—it’s something every physician and nurse now half-expects at some point in their career.

I still remember an early shift in the ER when I was stitching up a …

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Why we fear being forgotten more than death itself

Physician
May 22, 2025

It’s not the easiest question to ask aloud—especially in medicine, where we pronounce death but rarely reflect on it.

We chart it. Certify it. Explain it.
But what does it mean to die?

For most of us, the word carries a double weight. It means to stop biologically. To cease. To end.
But it also means to vanish. To be forgotten. To be no longer seen, needed, or named.

As a surgeon, I saw death …

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From basketball to bedside: Finding connection through March Madness

Physician
May 20, 2025

Here in the Midwest we have finally made it through the doldrums of winter, which also indicates the season that basketball fans eagerly anticipate all year: March Madness.

The annual National Collegiate Athletic Association (NCAA) single-elimination basketball tournament inspires millions of folks to fill out brackets predicting the winners, myself included. I love sports for a multitude of reasons, and witnessing these young adults experiencing some of the best—and hardest—moments of …

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The invisible weight carried by Black female physicians

Physician
May 19, 2025

When I read Didi’s story, my heart recognized every detail—the subtle disrespect, the overt hostility, the isolation. I felt seen. Not just because I understood her pain but because I lived it, too.

In 1998, I began medical school in Oklahoma. Young, hopeful, and profoundly aware of the honor medicine held, I imagined a career built on compassion and respect. Instead, what greeted me was bias, microaggressions, and disrespect—from seniors, nurses, …

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A female doctor’s day: exhaustion, sacrifice, and a single moment of joy

Physician
May 19, 2025

When I was unemployed, I applied for countless positions. For months, I have been waiting for a call letter regarding a test or an interview. Now that I have accepted a job at a hospital located far away, I receive call letters in the mail almost every day. This makes me uncomfortable because I know that, being new in my position, I cannot take time off for any test or …

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The hidden cost of malpractice: Why doctors are losing control

Physician
May 18, 2025

In ancient times, there were oracles and soothsayers. Risk management was not a science until the 1950s. However, a medical malpractice lawsuit is still a problem in need of a skilled risk manager, not an oracle or a soothsayer.

Today, there are 1 million physicians practicing in the U.S. A doctor’s chance of being sued for medical malpractice is 8.5 percent per year, and the chance that this lawsuit has no …

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How scales of justice saved a doctor-patient relationship

Physician
May 18, 2025

I was scheduled to see a prominent federal judge in my office at 9:00 a.m. The judge requested the first appointment of the day and expected to be seen promptly at 9:00 a.m. I had an emergency providing care for a patient in clot retention. As a result, I was not able to see him at the designated time. At 9:15 a.m., he approached the desk and asked when he …

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Rediscovering the soul of medicine in the quiet of a Sunday morning

Physician
May 18, 2025

It is early Sunday morning—there’s the rare kind of quiet today that feels borrowed. My daughter is still asleep beside my wife, and the house is hushed in that golden stillness. I find myself flipping through the paper copy of The Rheumatologist’s “Best of 2024” supplement that had arrived earlier in the week—I just wanted a brief escape from medical records (and even more so, from studying).

Half-skimming, half-unwinding, I …

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The broken health care system doesn’t have to break you

Physician
May 16, 2025

Practicing medicine today is not what most of us envisioned when we chose it as a profession. We still love science. We still love health. We still love helping patients and being healers.

But the practice of medicine has changed—and continues to evolve at an unprecedented pace. Navigating this shifting landscape requires a new mindset—one rooted in adaptability, self-awareness, and resilience. The way we were trained to practice medicine twenty or …

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How a $75 million jet brought down America’s boldest doctor

Physician
May 15, 2025

This article is satire.

Dr. Donovan Trumble was not your average internist.

In fact, if you asked him, he wasn’t your average anything.

He called himself “the most successful physician-researcher in America—maybe ever,” and once declared during grand rounds, “If Sir William Osler were alive today, he’d be my opening act.”

To the faculty at the Ivy League medical school where Trumble had once chaired the Department of Clinical Egotism (officially “Translational Medicine,” but …

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The dreaded question: Do you have boys or girls?

Physician
May 13, 2025

Like many parents, I love to talk about my children. A conversation with someone to whom I’m newly introduced often begins: “Do you have children?” (Yes). “How many?” (Two). Their natural and understandable follow-up question usually is: “Boys or girls?”

Usually, I revel in the possibilities inherent in meeting someone new. However, at this moment I pause and silently protest. Ugg!! This is a question that one should NEVER ask someone …

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When rock bottom is a turning point: Why the turmoil at HHS may be a blessing in disguise

Physician
May 12, 2025

Recent headlines confirm what many Americans have sensed for the past few years: the U.S. Department of Health and Human Services (HHS) is in crisis. A sweeping wave of layoffs is reshaping federal health agencies at every level—from the NIH to the CDC to the FDA. Some dismiss this as a political maneuver or an act of chaos. Others see it as an attack on career civil servants. I see …

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Fear of other people’s opinions nearly killed me. Here’s what freed me.

Physician
May 11, 2025

After I was medically discharged from the military for seeking mental health treatment and transitioned out of surgery residency to recover, I isolated in guilt, shame, and exhaustion.

Despite my surgery program director telling me repeatedly that he was not disappointed in me and supporting me fully in my decision to transition into a different specialty where I could better take care of my health, I felt worthless …

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What independent and locum tenens doctors need to know about fair market value

Physician
May 11, 2025

If you are working as an independent or locum tenens physician, there’s a good chance you’ve found yourself wondering: Am I being paid fairly for my time and expertise? Unlike employed physicians, whose compensation is often shaped by established benchmarks and internal HR formulas, independent and locum tenens doctors are frequently left to navigate negotiations on their own—often with limited information.

Understanding what constitutes “fair market value” in this context is …

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How one simple breakfast question can transform patient care

Physician
May 10, 2025

“What did you have for breakfast today?”

This phrase is a crucial part of my morning rounds.

While interacting with the patient, the greeting is very important. I believe doctors who approach the bedside without introducing themselves and who immediately ask about the patient’s active complaint tend to come across as less compassionate (whatever their actual intentions might be). This can hinder the development of the bond necessary for obtaining a complete …

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How to change the world: Start by making your bed

Physician
May 10, 2025

Admiral William McRaven is a Navy SEAL and was the president of the University of Texas. In 2014, he gave a commencement speech that has been viewed over 10 million times. It is considered one of the greatest contemporary graduation speeches of all time.* Although the speech was directed at 8,000 graduates at the University of Texas, his message certainly applies to the health care profession.

So, here …

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